Oral Lesions and Developmental Anomalies Flashcards
What condition can this commonly occur with?
Erythema Migrans (geographic tongue)
- glossitis, loss of lingual papillae, usually presents on the dorsal 2/3 and lateral surfaces
What is this?
Fissured Tongue (incidence of 6.8-11%)
What is the inheritance of this?
Fissured Tongue
Inheritance: polygenic or autosomal dominant
What conditions does this commonly occur with?
Fissured Tongue
1) Down syndrome
2) Dry mouths
3) Diabetes
4) Source of Halitosis
What is the treatment?
Fissured Tongue
1) Brush Tongue
2) Becomes more prominent with age
What pediatric age and gender does this condition generally present with?
Fissured Tongue
1) First and second decades
2) No gender predilection
What is this?
Partial ankyloglossia (tongue tie)
What age and gender does this condition usually present with?
Partial ankyloglossia (tongue tie)
1) Present at birth
2) Male Predilection
What is the treatment for this condition?
Partial ankyloglossia (tongue tie)
1) Infrequently frenectomy is indicated
2) may self-correct
What is the incidence of this condition?
Partial ankyloglossia (tongue-tie)
2-4% of children
What is this?
Lingual Thyroid
What age and gender does this anomaly generally present with?
Lingual Thyroid
1) Second Decade
2) Female Predilection
Describe this anomaly
Lingual Thyroid
Nodular mass with pink or red, smooth surface
May cause dysphagia, dysphonia (hoarseness), or dyspnea (labored breathing)
What is a variant of this and where does it occur?
Lingual Thyroid
1) Thyroglossal duct cyst
2) Occurs in midline of neck
When do symptoms from this anomaly begin to manifest? Why is this important?
Lingual Thyroid
1) Puberty or pregnancy
2) Normal thyroid absent in 70%
3) Important because of infantile hypothyroidism
What is the treatment for this anomaly?
Lingual Thyroid
1) Thyroid hormone therapy
2) excision or radioactive iodine ablation
3) carcinomas arise in <1%
What is this anomaly called?
Commissural lip pits
What age and gender does this anomaly generally present with?
Commissural Lip Pits
1) Second decade
2) Male predilection
Where does this anomaly generally occur?
Commissural Lip Pits
Corner of the mouth
What is the treatment for this?
Commissural Lip Pits
1) No treatment required
What is this anomaly?
Paramedian Lip Pits (congenital lip pits)
What age and gender does this anomaly generally present with?
Paramedian Lip Pits (congenital lip pits)
1) Present at birth
2) No gender predilection
What conditions does this anomaly generally present with?
Paramedian Lip Pits (congenital lip pits)
1) Cleft lip and palate
2) Van der woude
What is the treatment for this anomaly?
Paramedian Lip Pits (congenital lip pits)
1) None required
2) Surgery if cosmetic problem
What is this anomaly?
Retrocuspid papilla
What age and gender does this anomaly generally present with?
Retrocuspid papilla
1) First and second decades
2) Female predilection
Describe this anomaly
Retrocuspid papilla
1) Lingual attached gingiva
2) Adjacent to mandibular canines
What is the treatment for this anomaly?
Retrocuspid papilla
1) None required
2) Normal anatomic variant
What is this anomaly?
Bifid Uvula
What age and gender does this anomaly generally present with?
Bifid Uvula
1) Present at birth
2) No gender predilection
What is the pediatric significance of this anomaly?
Bifid Uvula
1) Minimal expression of cleft palate
2) Submucous cleft may be present
3) associated with loeys-dietz syndrome
What is the treatment for this anomaly?
Bifid Uvula
1) No treatment required
2) Genetic counseling may be indicated
What is this anomaly?
Hyperplastic labial frenum
What age and gender does this anomaly generally present with?
Hyperplastic labial frenum
1) Present at birth
2) No gender predilection
What is the treatment of this anomaly?
Hyperplastic labial frenum
1) None required
2) frenectomy reserved for correction of large diastema or gingival recession
What is this anomaly?
Torus palatinus (palatal torus)
What age and gender does this anomaly generally present with?
Torus palatinus (palatal torus)
1) Second decade
2) Female predilection
Describe this anomaly
Torus palatinus (palatal torus)
1) Bony hard mass
2) asymptomatic unless traumatized
What is the inheritance of this anomaly?
Torus palatinus (palatal torus)
1) Autosomal dominant
2) multifactorial influence
What is the treatment for this anomaly?
Torus palatinus (palatal torus)
1) none required
2) will continue to grow during adulthood
What is this anomaly?
Torus mandibularis (mandibular torus)
What age and gender does this anomaly generally present with?
Torus mandibularis (mandibular torus)
1) second decade
2) male predilection
What is the treatment for this anomaly?
Torus mandibularis (mandibular torus)
1) None required
2) Will continue to grow durig adulthood
What is this anomaly?
Exostosis
What is the pediatric significance of this anomaly?
Exostosis
1) when traumatized can mimic odontogenic infection because of location
2) may be tender to palpation in children
